Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Wilson

Individual provider Physical Therapist · NPI 1912798034

Marissa Wilson is a Physical Therapist in Private Practice in Clarkston, Michigan. Graduated from Oakland Univ, William Beaumont School of Medicine in 2024, 2 years ago. Practices with Team Rehabilitation Services LLC, a 569-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
MI
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5678 Sashabaw Rd
Clarkston, MI 48346-3148
Phone: (248) 922-9280
Fax: (248) 922-9287
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501303936 (MI)

Record details

NPI number1912798034
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Team Rehabilitation Services Llc — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clarkston